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Biomedical subjects

J A Lack

Publications and source records attributed to J A Lack.

13 recordsLinked to original sources

Resource management.

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Costs and Cost Analysis

The pre-operative anaesthetic visit. Its value to the patient and the anaesthetist.

One hundred and thirty-two patients staying in hospital more than 24 h were visited pre- and postoperatively. Patients were asked a standard set of questions, and 39% could not remember accurately what they were asked. This has important medicolegal implications. In 15% of patients, information that significantly altered subsequent anaesthetic management was discovered, but in less than 3% would ignorance of the patient's condition have required postponement of the surgery. We conclude that the major reason for a pre-operative visit by an anaesthetist is that patients appreciate it, rather than it being medically necessary.

Adolescent

Theatre pollution control.

Pollution control should be simple, cheap and effective. It should not introduce further hazards to the patient nor significantly complicate the practice of anaesthesia. These goals are attainable using a simple passive system. Convenience in use is enhanced by a concentric tubing system which allows effluent gases to be collected at the machine end and exhausted to the exterior. The additional expiratory resistance is minimal.

Air Pollution